"Boss, are you a little serious?" Su Yun asked.
"Hmm..." Zheng Ren was thinking about countless situations in his mind, and he just gave a long reply to Su Yun's question, intentionally or unintentionally.
Then nothing happened.
Su Yun was also helpless, but Zheng Ren insisted on thinking about this trivial matter, and he felt that he had nothing to do.
If you want to think about it, just think about it. Seeing that the patient was fine, Su Yun ran to chat with the ICU nurse. Zheng Ren has always been curious about this, why he talks so much to strangers.
If it were me in my place, I would have said a few awkward sentences, but I wouldn't even know what to say in the third sentence.
But looking at Su Yun, he was chatting with the two ICU nurses with great interest, and the little girls were smiling brightly. Taking a break from your busy schedule is considered a benefit, right
Director Qian of Haicheng City No. 1 Hospital even scolded Director Pan because of Su Yun's need to go to the emergency department.
But when it comes to being arrogant and unreasonable, Director Pan is a master. Director Qian, that’s not enough.
As long as Su Yun is here, the nursing team will never be dispersed. Zheng Ren also thought it was ridiculous when he thought about the conclusion made by Director Pan at that time.
"Boss Zheng, do you have any suspicion? I'll check it out right away." the ICU resident asked.
"No need for now, let me think about it." Zheng Ren stood in front of the hospital bed, not looking at Su Yun, but began to recall the process of his treatment yesterday.
Instead of receiving the treatment myself, I received a call saying that there was an emergency patient with a pelvic fracture, so I ran over by myself.
As soon as I entered the operating room, I saw...
etc!
Zheng Ren was stunned, and what he had been thinking about suddenly became clear.
It’s an anesthesia problem!
After anesthesia and intubation, the patient was inserted into the esophagus. When he entered the room, he saw that the patient's belly was slightly swollen and cyanosis began to appear on his limbs.
right!
That's for sure.
After general anesthesia, the smooth muscles of the gastrointestinal tract relax. At this time, a large amount of gas presses in, causing the stomach to become extremely dilated. Part of the small intestine has similar symptoms.
The high degree of tension thins the gastrointestinal wall, widens the gaps between endothelial cells from a microscopic perspective, and strengthens permeability, leading to extravasation of fluid.
Abdominal effusion is actually the same as effusion in severe intestinal obstruction, but there is no infection factor.
Therefore, the liquid drawn from the drainage bag is light yellow, with no precipitation or bloody oozing.
When Zheng Ren thought of this, he immediately picked up the phone, made a gesture, found a quiet corner, and called Lao He.
"Lao He, it's me." Zheng Ren said.
"Boss Zheng, is there an emergency?" Lao He's voice was slightly excited.
"No." Zheng Ren said, "Let me ask you something. Have you ever encountered an intubation error and inserted it into the esophagus?"
There was a sudden silence on the other side of the phone.
On this topic, Zheng Ren seemed to be able to hear Lao He's heartbeat speeding up across the phone.
"Boss Zheng, please wait a moment. I'll find a quiet place to talk to you." Lao He's voice became cautious.
Zheng Ren couldn't laugh or cry. He knew that Lao He must have misunderstood.
But he was too lazy to explain to Lao He, and he couldn't wait long anyway.
After dozens of seconds, Lao He's voice came.
"Boss Zheng, did you have an accident while rescuing the patient in the emergency department?" Lao He asked in a low voice.
"No." Zheng Ren replied with a smile.
The person on the phone breathed a sigh of relief.
"In the early morning of the day before yesterday, the general surgery department received an emergency patient. When I rushed over, I happened to see the patient's belly bulging. Then I used a fiberoptic bronchoscope to remove the tube again. The operation was completed. The patient recovered well. I am seeing the patient in the ICU. Yeah." Zheng Ren explained.
"Scared me to death." Lao He said.
"I want to ask you, have you ever seen this kind of patient?"
"Boss Zheng, this is one of the biggest medical accidents in the anesthesiology department. It is the same as intraoperative awakening caused by operational errors." Lao He said: "It's more serious than that. I encountered it several times, but I was able to save it all. .”
"Have you followed up on the postoperative conditions of these patients?" Zheng Ren asked.
"No, but I can ask in the group. They are all veteran anesthetists across the country." Lao He said.
"Help me ask, have they seen a large amount of light yellow liquid being drained out of the abdominal cavity after surgery?" Zheng Rendao.
"Okay!" Lao He responded.
Zheng Ren hung up the phone and saw that there were more and more little girls around Su Yun, and the face of the hospital chief began to look bad.
It really affects work. Is it true what he said about wearing two layers of masks? Zheng Ren thought about it carefully and found it a bit ridiculous.
There is nothing serious about this guy.
"Boss Zheng, are you consulting with your teacher?" Zheng Ren, the chief resident of the ICU, asked with a smile after making the call.
It is only logical that at Boss Zheng's age, he should have a particularly powerful teacher.
"Uh..." Zheng Ren smiled and returned to the bedside to look at the patient's drainage bag.
The light yellow drainage fluid is very clear, occasionally a little turbid, but not much. Zheng Ren recalled the operation process, mentally calculated the amount of drainage, and became more and more convinced of his judgment.
When he was hospitalized, Zheng Ren didn't say anything, so he thought to himself that maybe his teacher had passed away. This is a sad thing. Don't expose Boss Zheng's scars.
More than ten minutes later, Lao He called.
"Boss Zheng, someone has met someone who said that there will be a moderate amount of exudate after surgery." Lao He said, "I will send you the chat record right now. Your judgment is correct."
Zheng Ren took a look at the chat history. The anesthesiologist said a lot. It seemed that this patient had a deep impression on him.
It was a patient with a stab wound. After discovering that the wrong insertion was made, the same thing happened. He immediately performed artificial respiration and used a fiberoptic bronchoscope to re-intubate.
After the operation, the anesthesiologist was worried that something might happen and the patient would have symptoms of cerebral hypoxia, so he followed the patient for three days.
He still had vivid memories of the postoperative drainage.
The amount of light yellow drainage fluid, 500-1000ml, is gradually reduced every day. If there are no symptoms of cerebral hypoxia in the later period, it will no longer be of concern after being transferred out of the ICU.
What the anesthesiologist said was the same as what Zheng Ren saw, and Zheng Ren smiled.
The level of clinical technology has improved little by little.
This time I had no experience, so I thought about it for half an hour. But if we encounter it again in the future, we will no longer be bothered by things that cause a lot of traffic.
"Su Yun, let's go." Zheng Ren stood up and greeted Su Yun.
"Got it figured out?"
"Well, it should be. Tomorrow the drainage volume will be around 200ml, and it will decrease gradually. It will be better soon." Zheng Ren said with certainty.
Su Yun raised his eyebrows, but there were many people in front of him, so he couldn't ask in detail.
After talking to the nurses, Su Yun left the ICU with Zheng Ren.
…
After Lao He completed the task assigned to him by Zheng Ren, he felt something was wrong and searched for the surgery record.
That night, it was Cui Zhiying's class. Lao He thought for a while and ran to the surgery room to find him.